Permit (198) CITY OF TIGARD PLUMBING PERMIT
!. ' COMMUNITY DEVELOPMENT Permit#: PLM2018-00315
T f t R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/02/2018
Parcel: 2S113AC00102
Jurisdiction: Tigard
Site address: 7250 SW DURHAM RD J
Project: Stash Tea Subdivision:COUNCIL VIEW ACRES(LOTS 21-44) Lot: 25-27,2:
Project Description: ADD(1)ice maker,(1)grease interceptor and RELOCATE(1)hand sink.
Contractor: APOLLO DRAIN&ROOTER SERVICE Owner: PACIFIC REALTY ASSOCIATES
2208 NW BIRDSDALE#8 ATTN: N PIVEN
GRESHAM, OR 97030 15350 SE SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-239-8801 PHONE:
FAX: 503-669-9568
FEES
Quantity Description Date Amount
1 ea Ice Maker 06/28/2018 $12.51
Specifics: 1 ea Interceptor/Grease Trap 06/28/2018 $25.02
1 ea Sink 06/28/2018 $25.02
Type of Use: COM 10 Minimum Fee Adjustment- 06/28/2018 $9.95
Class of Work: ALT Plumbing
Type of Const: 18 Plan Review-Plumbing 06/28/2018 $18.13
Occupancy Grp: 9 12%State Surcharge- 06/28/2018 $8.70
Stories: Plumbing
Total $99.33
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: / Permitte_g.Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Plumbing Permit ApplicatiTTEG ;,
Building Fixtures 14)k Orr1C'C: USE ()NIA
Ci of Tigard JUN 2 2 2018 Received
v 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By:trp /�e�' 4` Permit N�C t ie -��3/S
1,1
! : C Phone: 503.718.2439 Fax 503. t t R1' PereRevie J Other Permit N J� k��0 i 7�
01aa ,tr Date/By:
Inspection Line: 503.639,4175 Fg DING DIVISION a
!]C A IL 1> Internet: www.ti and-or. ov R A!I D I "G D I V9 «I y 3`° Date Ready/By: )uric: S See Page 2 for
$ $ Notified/Method: Supplemental Information
T FZ QF'WORK ,FEE* SCREDIII;E..A.„2,,,.. .
o New construction ❑Demolition For special inforntatlorr use checklist
Description I Qty. I Ea. I Total
ISilAddition/alteration/replacement 0 Other: New I-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONST.RTIcTiON SPR(1)bath 312.70
❑ 1-and 2-family dwelling .1 Commercial/industrial SFR(2)bath 437.78
buildingSFR(3)bath 500.32
❑Accessory 0 Multi-family
Bach additional bath/kitchen 25.02
❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2
]O73 SITE INFORMATION AND LOCATION Site utilities:
Job site address: 50 t Catch basin or area drain 18.76
�` Doi-
r C Drywall,leach line,or trench drain 18.76
City/State/ZIP; I
l<1�/,'�Y�•• �)�. `C1-TN-AL1
Footing drain(no.linear ft.:___) Page 2
Suite/bldg./apt.no.: (Project name:,_ �: -1 Manufactured home utilities 50.03
Cross street/directions to job site: s7 ej j-{ 'T- ,, Manholes 18.76
Rain drain connector 18.76
Sanitary sewer(no.linear ft.: ) Page 2
Storm sewer(no.linear ft.: ) Page 2
Water service(no.linear ft.: ) Page 2
Subdivision: 1 Lot no.: Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
s � DESCRIP'�I(1N OF WORD .;
Backwater valve 12.51
1 Clothes washer 25,02
'
-\- \CX 1k c\ 1(e !'1\t y u c\(' /j Dishwasher 25.02
Y\f}.t'\ S\l\ ) r k‘(3.. \'Y\O Y V Drinking fountain 25.02
Ejectors/sump 25.02
�] PROPERTY OWNER .� TENANT Expansion tank 12.51
Fixture/sewer cap 25.02
Name: -.::C�0,,-\ -\E_cp..
Floor drain/floor sink/hub 25.02
Address:
Garbage disposal 25.02
City/State/ZIP: Hose bib 25.02
Phone:( ) Fax:( ) Ice maker it 12.51 r
AIP.IIlCANi CONTACT.PERSON Interceptor/grease trap 0 25,02 ..),,.:„.'.'O,
Business name: t Medical gas(value:$ ) Page 2
�" ,\( ..O Q\i'v .1- 11C\'G`e v Primer 12.51
Contact name: V__\tl\t+r� t Roof drain((commercial)
12.51
Address: j,i, , cSV la r(' ±I Sink/basin/lavatory 25.02 7)<-.)..
t;'a
C Er
City/State/ZIP: ,, r t t i--ie,30 Solar units(potable water) 62.54
Phone:( ) i ,. 6 (6s 0 i Fax::tio3 ) tcti;c't-q S / Tub/shower/shower pan 12.51
Urinal 25.02
E-mail: 1Ury-Alinci rtr>c )d\cx 7&-c\.t r\ l CYYN I
( - Water closet 25.02
CONTRACTOR: Water heater 37.52
Business name: r �y-,t`0 y-i�.ti t\ t } C _j w,-, Water piping/DWV 56.29
Address: <},C. �, .)L..�3 `vr-d s( �� ,hre -_ sOther: 25,02
City/State/ZIP: ( e s\'\D`-\'\ , c2. ` 7C) C Subtotal C%/ 5-}
Phone:(-565) 'D,t- l-55sst-%t Fax:( ) ( Minimum permit fee: $7250 '-t 3 --ki� � -. Plan review (25%ofpermit fee) s ,46, !=
CCB Lie.; �\CA kikI Plumbing Lic.no.: 3�,.
State surcharge(12%ofpermit fee) ,:( - .70
Authorized signature; -- , '''f.�t": TOTAL PERMIT FEE�� y.�
1t'S
Print name: t Date: t.,,,;)1This permit application expires If a permit is not obtained wit n 180 days
,,,\‘t e \')),'(kj . t ‘c after It has been accepted as complete. C
*Fee methodology set by Tri-County Building Industry Service Board. f/r
1:U3uildingWermit\PLMU-PcnnitApp.d°c 10/01/09 440-4616T(10/02/COM/WEB)
Plumbing Permit Application - City of Tigard
Page 2-Supplemental Information
Fee Schedule: Residential Fire Suppression Systems;
ite Ut l sties Qty Fee(a) Total
Footing drain-1 u 100' 50.03 0 to 2,000 $121.90 Square Footage Perii it Fee.
i
S
Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69
3,601 to 7,200 $233.20
Sewer-tat 100' 62.54 7,201 and greater $327.54
Sewer-each additional 100' ' 37.52
Water Service-1st 100' b2.54 Medical Gas Systems:
Water Service-each additional 100' 37.52
Storm&Rain Drain-1st 100' 62.54
Yaluahon: Permit Fee.
$1.00 to$5,000.00 Minimum fee$72.50
Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$I0,000.00 $72.50 for the first$5,000.00 and$1.52 for
Other Inspections or Fees Qty lee(ea) Total each additional$100.00 or fraction thereof,to
and including$10,000.00.
Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for
which no fee is specifically indicated 90.00/hr each additional$100.00 or fraction thereof,to
(minimum charge—1/2 hour) and including$25,000.00.
Inspections outside of normal business 90.00/1u• $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for
hours(minimum charge—2 hours) each additional$100.00 or fraction thereof,to
Reinspection Fees 90.00/hr and including$50,000.00,
Additional plan review for revisions 90.00/hr $50,001.00 and up $742,00 for the first$50,000.00 and$1.20 for
(minimum charge—1/2 hour) each additional$100.00 or fraction thereof.
Subtotal:
Commercial Fixture Work:
Are you capping,adding or replacing fixtures? If"yes",
please indicate work performed by fixture. Failure to
accurately report fixtures could result in increased sewer fees*.
Plan)Roiewfoar Pluming InstaUations
Quantity by Fixture Type: Plan review is required for any of the following.
Fixture Type for Replese/ Please check all that apply.
Work Performed .. .Capped Added`: Relocate
Baptistry/Font ❑ Any new commercial building with water service 2"and
Bath: -Tub/Shower greater,except systems designed and stamped by licensed
-Jacuzzi/Whirlpool engineer.
Car Wash: Each Stall
0 New exterior plumbing site utilities for any complex structure
-Drive Thru as defined in OAR918 780 0040.
Cuspidor/Water Aspirator ❑ Medical gas and vacuum systems for health care facilities.
Dishwasher Commercial
0 Any multipurpose fire sprinkler system.
-Domestic
0 Any complex structure as defined in OAR918-780-0040,
Drinking Fountain
Eye Wash Submit 2 sets of plans with any of the above.
Floor Drain/sink: -2"
3" Isornietr>!c or Riser.Diagr m
Car Wash Drain El Isometric or riser diagram is required for new buildings
Garbage Domestic non-food that meet the qualifications above,
Disposal: -Domestic food related
-Commercial food related
-Industrial food related
Ice Mach./Refrig.Drains 1 Comments regarding fixture work:
Oil Separator(Gas Station) /j)-4..• .v'.. VO t W` C/ 1 ._C V
Rec.Vehicle Dump Station
Shower: -Gang
-Stall
Sint: -Lav/Bar non-food related
r �S -Bradley
'" -Com/Serv/Util food related
-Service *Note: If the fixture work under this permit results in an
Swimming Pool Filter
increase of sewer EDUs a sewer permit will be issued and
Washer-Clothes
Water Extractor fees assessed for the sewer increase must be paid before the
Water Closet-Toilet plumbing permit can be issued.
Urinal
Other Fixtures:(Dre.las i('k Mier t
I:\Building\Permits\PLMF PermitApp.doc 08/04/2011 2
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
7250 SW DURHAM RD J, TIGARD, OR, 97224 June 13, 2019 at 10:57:49 AM
Record Type: Record ID:
Commercial - Plumbing PLM2018-00315
Inspection Type: Inspector:
399 Plumbing final Aaron Cillo-Gobel
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor